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Provider Information for 1417148107

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SCOTTIE H NGUYEN D.D.S.

Gender: MALE

Individual NPI: 1417148107

Calendar   Last Updated:  2021-08-13
  Certification Date:  2021-08-13

Details

Name Value
NPI 1417148107
Enumeration Date 2007-08-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5588 STATE HIGHWAY 121 STE 200
PLANO, TX 75024-6783
United States

Phone: 214-618-0813 | Fax:
View Map External Link
Primary Practice Address 5588 STATE HIGHWAY 121 STE 200
PLANO, TX 75024-6783
United States

Phone: 214-618-0813 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
CONNECT URL OPENDENTAL 5588 STATE HIGHWAY 121 STE 200
PLANO, TX 75024-6783
United States
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 21453